1
|
Domingues C, Ferreira MJV, Ferreira JM, Marinho AV, Alves PM, Ferreira C, Fonseca I, Gonçalves L. Prognostic Value of Isolated Elevated Troponin I Levels in Patients without Acute Coronary Syndrome Admitted to the Emergency Department. Arq Bras Cardiol 2021; 116:928-937. [PMID: 34008817 PMCID: PMC8121477 DOI: 10.36660/abc.20190356] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/06/2019] [Accepted: 04/08/2020] [Indexed: 11/23/2022] Open
Abstract
Fundamento: Embora a elevação não isquêmica da troponina seja frequentemente observada em pacientes admitidos no pronto-socorro (PS), não há consenso quanto ao seu manejo. Objetivos: Este estudo teve como objetivo caracterizar os pacientes admitidos no PS com elevação da troponina não-isquêmica e identificar potenciais preditores de mortalidade nessa população. Métodos: Este estudo observacional retrospectivo incluiu pacientes do PS com resultado positivo no teste da troponina entre junho e julho de 2015. Pacientes com diagnóstico clínico de síndrome coronariana aguda (SCA) foram excluídos. Os dados demográficos dos pacientes e as variáveis clínicas e laboratoriais foram extraídos dos prontuários médicos. Os dados do seguimento foram obtidos por 16 meses ou até a ocorrência de morte. O nível de significância estatística foi de 5%. Resultados: A elevação da troponina sem SCA foi encontrada em 153 pacientes no PS. A mediana (IIQ) de idade dos pacientes foi de 78 (19) anos, 80 (52,3%) eram do sexo feminino e 59 (38,6%) morreram durante o seguimento. A mediana do período de seguimento (IIQ) foi de 477 (316) dias. Os sobreviventes eram significativamente mais jovens 76 (24) vs. 84 (13) anos; p=0,004) e apresentaram uma maior proporção de elevação da troponina isolada (sem elevação da creatina quinase ou mioglobina) em duas avaliações consecutivas: 48 (53,9%) vs. 8 (17,4%), p<0,001. Os sobreviventes também apresentaram menor taxa de tratamento antiplaquetário e internação no mesmo dia. Na regressão logística multivariada com ajuste para variáveis significativas na análise univariada, a elevação isolada da troponina em duas avaliações consecutivas mostrou hazard ratio = 0,43 (IC95% 0,17–0,96, p=0,039); hospitalização, tratamento antiplaquetário anterior e idade permaneceram independentemente associados à mortalidade. Conclusões: A elevação isolada da troponina em duas medidas consecutivas foi um forte preditor de sobrevida em pacientes no PS com elevação da troponina, mas sem SCA.
Collapse
Affiliation(s)
- Célia Domingues
- Centro Hospitalar e Universitário de Coimbra EPE, Coimbra - Portugal
| | - Maria João Vidigal Ferreira
- Centro Hospitalar e Universitário de Coimbra EPE, Coimbra - Portugal.,Universidade de Coimbra - Faculdade de Medicina, Coimbra - Portugal
| | | | - Ana Vera Marinho
- Centro Hospitalar e Universitário de Coimbra EPE, Coimbra - Portugal
| | | | - Cátia Ferreira
- Centro Hospitalar e Universitário de Coimbra EPE, Coimbra - Portugal
| | - Isabel Fonseca
- Centro Hospitalar e Universitário de Coimbra EPE, Coimbra - Portugal
| | - Lino Gonçalves
- Centro Hospitalar e Universitário de Coimbra EPE, Coimbra - Portugal.,Universidade de Coimbra - Faculdade de Medicina, Coimbra - Portugal
| |
Collapse
|
2
|
Marinho V, Alves P, Domingues C, Ferreira J, Milner J, Antonio N, Martins R, Elvas L, Goncalves F, Goncalves L. P1541 Left ventricular global longitudinal strain can predict the risk of ventricular arrhythmias in hypertrophic cardiomyopathy patients with preserved left ventricle function. Eur Heart J Cardiovasc Imaging 2020. [DOI: 10.1093/ehjci/jez319.962] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
Abstract
Introduction
Hypertrophic cardiomyopathy (HCM) is characterized by a heterogeneous clinical expression with increased risk of sudden cardiac death (SCD) from ventricular arrhythmias (VAs).Several studies have shown that patients with malignant arrhythmias have increased electrical dispersion and in homogeneity of intraventricular conduction. Strain by echocardiography is an excellent tool for assessing regional and global left ventricular (LV) function and mechanical dispersion reflects heterogeneous myocardial contraction. We aimed to explore the value of strain parameters in prediction of VAs in HCM with LV preserved systolic function.
Methods
Retrospective observational study including all patients with HCM and ICD implanted in setting of primary prevention in our centre. Patients with LVEF < 40% or coronary artery disease were excluded. LV GLS was defined as the average of peak longitudinal strains from a 16 LV segments model, obtained from three apical views. Time to peak strain was defined as the time from onset Q/R wave on ECG to peak negative longitudinal strain during the entire cardiac cycle. Mechanical dispersion was defined as the standard deviation of time to peak negative strain in 16 LV segments. Patients with VA (group1) and patients without VA (group2) were compared.
Results
The study population included 48 patients, 63.3% of male gender. A family history of HCM was present in 64 pts (43%). All patients were under anti arrhythmic therapy (BB in 95.6%, other anti-arrhythmic in 28.2%). VAs (sustained and non sustained) were documented in 27 (55%) patients. The study groups did not differ regarding to mean age (54 ± 12 vs 56 ± 12 years, p = 0.67), male gender (54% vs 56%, p = 0.87) and BB therapy (91% vs 96%,p = 0.07). Mean LVEF was 58% in group 1 and 61% in group 1, p = 0.56; a LVOT gradient >30mmHg was present in 52% of group 1 pts and 45% of group 2 pts, p = 0.06. Mean wall thickness was 22mm vs 18 mm, p = 0.03, respectively.
GLS was significantly lower in group 1 (- 13.9 ±3.4 vs -16.1 ±3.5, p = 0.02), mechanic dispersion was significantly higher in group 1(81 ± 14 vs 60 ± 12ms, respectively, p = 0.01. Using a multivariate logistic regression model including variables included in SCD HCM risk score proposed by ESC mechanical dispersion (OR: 1.54 (1.03–8.7), p = 0,03) was a strong and independent risk predictor of VA. Using optimal cut-off values from ROC analyses, patients with mechanical dispersion >67 ms (AUC = 0.82, p= 0.02) had more VAs.
Conclusions
Mechanical dispersion and GLS may help to identify HCM patients with high risk of VAs and SCD.
Abstract P1541 Figure 1
Collapse
Affiliation(s)
- V Marinho
- University Hospitals of Coimbra, Cardiology, Coimbra, Portugal
| | - P Alves
- University Hospitals of Coimbra, Cardiology, Coimbra, Portugal
| | - C Domingues
- University Hospitals of Coimbra, Cardiology, Coimbra, Portugal
| | - J Ferreira
- University Hospitals of Coimbra, Cardiology, Coimbra, Portugal
| | - J Milner
- University Hospitals of Coimbra, Cardiology, Coimbra, Portugal
| | - N Antonio
- University Hospitals of Coimbra, Cardiology, Coimbra, Portugal
| | - R Martins
- University Hospitals of Coimbra, Cardiology, Coimbra, Portugal
| | - L Elvas
- University Hospitals of Coimbra, Cardiology, Coimbra, Portugal
| | - F Goncalves
- University Hospitals of Coimbra, Cardiology, Coimbra, Portugal
| | - L Goncalves
- University Hospitals of Coimbra, Cardiology, Coimbra, Portugal
| |
Collapse
|
3
|
Domingues C, Oliveira-Santos M, Castelo-Branco M, Silva R, Gomes A, Chichorro N, Abrunhosa A, Donato P, Pedroso De Lima J, Goncalves L, Vidigal Ferreira MJ. P3358Cardiovascular risk, aortic valve microcalcification and vascular microcalcification: is there a link? Eur Heart J 2019. [DOI: 10.1093/eurheartj/ehz745.0234] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
Abstract
18F-sodium fluoride (18F-NaF) has been used to evaluate aortic stenosis. It is know that its uptake is related with microcalcification. The purpose of this study is to assess the relationship between 18F-NaF uptake by the aortic valve and by the main arterial vessels and cardiovascular risk.
Twenty-five hypertensive patients without known cardiovascular disease or aortic stenosis underwent PET-CT with 18F-NaF. Cardiovascular risk was assessed through the ASCVD risk calculator. The patients had a mean age of 64.0±8.6 years and 56% were males. The mean ASCVD risk was of 28.8±19.0 (IQR: 10–48.5). The uptake of 18F-NaF assessed through the corrected uptake per lesion (CUL = max SUV – mean blood-pool SUV) was of 0.49±0.14 (IQR: 0.44–0.57) and the mean uptake in the aortic, coronary and carotid territories was of 0.66±0.21 (IQR: 0.53 - 0.76).The patients were classified according to the ASCVD: Group A: patients with a risk above the 50thpercentile of the ASCVD risk distribution (50thpercentile=25), 12 patients) and Group B: patients with a risk under or equal to the 50thpercentile of the ASCVD risk distribution, 13 patients.
The uptake of 18F-NaF in the aortic valve (AoV)and in the main vascular territories (VT) were evaluated in both groups: A vs B: AoV CUL = 0.57±0.09 vs 0. 42±0.14, p=0.005; VT= 0.78±0.16 vs 0.54±0.20, p=0.003. We also evaluate the relation between AoV uptake and VT uptake and they were significantly related (r=0.69, p=0.0001).
In conclusion on this study microcalcification of the aortic valve and in the main vessels, evaluated through 18F-NaF uptake, were related between them and with cardiovascular risk reinforcing the importance of cardiovascular risk prevention in aortic valve degeneration and vascular atherosclerosis.
Collapse
Affiliation(s)
- C Domingues
- University Hospitals of Coimbra, Cardiology, Coimbra, Portugal
| | | | - M Castelo-Branco
- Faculty of Medicine of the University of Coimbra, Institute of Nuclear Sciences Applied to Health, Coimbra, Portugal
| | - R Silva
- Faculty of Medicine of the University of Coimbra, Institute of Nuclear Sciences Applied to Health, Coimbra, Portugal
| | - A Gomes
- Faculty of Medicine of the University of Coimbra, Institute of Nuclear Sciences Applied to Health, Coimbra, Portugal
| | - N Chichorro
- Faculty of Medicine of the University of Coimbra, Institute of Nuclear Sciences Applied to Health, Coimbra, Portugal
| | - A Abrunhosa
- Faculty of Medicine of the University of Coimbra, Institute of Nuclear Sciences Applied to Health, Coimbra, Portugal
| | - P Donato
- Faculty of Medicine of the University of Coimbra, Institute of Nuclear Sciences Applied to Health, Coimbra, Portugal
| | - J Pedroso De Lima
- Faculty of Medicine of the University of Coimbra, Institute of Nuclear Sciences Applied to Health, Coimbra, Portugal
| | - L Goncalves
- University Hospitals of Coimbra, Cardiology, Coimbra, Portugal
| | - M J Vidigal Ferreira
- Faculty of Medicine of the University of Coimbra, Institute of Nuclear Sciences Applied to Health, Coimbra, Portugal
| |
Collapse
|
4
|
Ferreira J, Freitas F, Ferreira C, Milner J, Alves P, Marinho V, Domingues C, Monteiro S, Baptista R, Goncalves L. P2655ST-elevation myocardial infarction in women: a more satisfactory outcome? Eur Heart J 2019. [DOI: 10.1093/eurheartj/ehz748.0976] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
Abstract
Background
Despite all the advances registered in the last decade regarding acute myocardial infarction with ST-segment elevation (STEMI) treatment, this entity remains prevalent and highly lethal. Women constitute a lower proportion of STEMI patients, however, they show important differences when compared to men. Thanks to the lower representation of women in STEMI trials, less is know about this patient subpopulation.
Purpose
To determine and understand gender differences in patients admitted with STEMI in a coronary care unit (CCU).
Methods
Observational retrospective study of patients admitted with STEMI in a CCU, between 2006 and 2017. Patients were split between groups according to gender and were assessed in terms of risk factors, diagnosis, treatment, complications and mortality.
Results
A total of 2516 patients were included in the study. 1833 were men (72.9%) and 682 were women (27.1%). Mean age was superior in women (73.3±13.2 vs. 64.1±12.8 years, p<0.001), and displayed a greater cardiovascular comorbidity burden such as hypertension (79.6% vs. 66.2%, p<0.001) and diabetes (55.8% vs. 45.3%, p<0.001). At admission time women registered a higher mean TIMI (2.79 vs. 2.62, p=0.009) and GRACE score (166.3 vs. 146.3, p<0.001) which did not reflect in a higher hospital stay (mean 4.75 vs. 5.29 days, p=0.043). Before admission women were less treated with aspirin (26.4% vs. 33.2%, p=0.014) and statins (36.8% vs. 46.5%, p=0.001). There were no differences regarding access to revascularization (98% vs. 96.5%, p=0.105) but women presented more normal coronary angiographies (10.2% vs. 3.6%, p<0.001). During hospital stay, women evolved more to Killip-Kimball (KK) class III (4.5% vs. 1.9%, p<0.001) and KK class IV (15.9% vs. 11.2%, p<0.001). Intra-hospital (13.9% vs. 8.2%, p<0.001), 1-month (18.4% vs. 13.2%, p<0.001), 6-month (22.2% vs. 16.1%, p<0.001) and 1-year mortality (25.7% vs. 17.8%, p<0.01) was superior in women. After multivariate analysis heart failure on admission (OR 9.2, CI 95% 6.7–12.8), intravenous amiodarone use (OR 3.5, CI 95% 2.5–4.8), diabetes (OR 2.3, CI 95% 1.8–2.8), female gender (OR 1.6, CI 95% 1.3–2.0) and peak serum creatinine during hospital stay (OR 1.7, CI 95% 1.6–1.9) were independent predictors of 1-year mortality. After adjustment for age, diabetes, hypertension, previous acute myocardial infarction and initial KK, female gender maintained its potency as a significant 1-year mortality predictor.
Conclusions
Women presenting with STEMI register poorer outcomes compared to men. In our study, female gender was considered a good independent predictor of short-term and long-term mortality.
Collapse
Affiliation(s)
- J Ferreira
- University Hospitals of Coimbra, Cardiology, Coimbra, Portugal
| | - F Freitas
- University Hospitals of Coimbra, Cardiology, Coimbra, Portugal
| | - C Ferreira
- University Hospitals of Coimbra, Cardiology, Coimbra, Portugal
| | - J Milner
- University Hospitals of Coimbra, Cardiology, Coimbra, Portugal
| | - P Alves
- University Hospitals of Coimbra, Cardiology, Coimbra, Portugal
| | - V Marinho
- University Hospitals of Coimbra, Cardiology, Coimbra, Portugal
| | - C Domingues
- University Hospitals of Coimbra, Cardiology, Coimbra, Portugal
| | - S Monteiro
- University Hospitals of Coimbra, Cardiology, Coimbra, Portugal
| | - R Baptista
- University Hospitals of Coimbra, Cardiology, Coimbra, Portugal
| | - L Goncalves
- University Hospitals of Coimbra, Cardiology, Coimbra, Portugal
| |
Collapse
|
5
|
Marques-Alves P, Marinho AV, Domingues C, Baptista R, Castro G, Martins R, Gonçalves L. Left atrial mechanics in moderate mitral valve disease: earlier markers of damage. Int J Cardiovasc Imaging 2019; 36:23-31. [PMID: 31388814 DOI: 10.1007/s10554-019-01683-w] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/01/2019] [Accepted: 07/31/2019] [Indexed: 12/01/2022]
Abstract
While the impairment of left atrial (LA) mechanics in mitral valve disease is well known, the exact onset of reservoir, conduit, and contractile dysfunction in mitral stenosis (MS) and mitral regurgitation (MR) remains unclear. We aimed to clarify the LA deformation mechanics in patients with moderate mitral valve disease. We conducted a prospective observational study of 80 patients with moderate isolated MR, 80 patients with moderate isolated MS, and 64 age-matched controls without mitral valve disease. Strain (ɛ) and strain rate (SR) on speckle tracking echocardiography were assessed as indicators of LA and right atrium (RA) reservoir (ɛsys, SRs), conduit (ɛe, SRe), and contractile (ɛa, SRa) functions. Conventional echocardiographic parameters of the left ventricle (LV) were also assessed. Comparisons were conducted according to mitral valve pathology (MR patients, MS patients, controls). The mean LV ejection fraction, end-diastolic diameter, and global longitudinal strain did not differ across the groups. The pulmonary artery systolic pressure, LA volume indexed to body surface area, and LA mechanics were significantly impaired in mitral valve disease (patients vs controls). While LA ɛ did not vary between MR and MS, MR patients had better LA SRs and SRe but worse SRa (p < 0.01). SRe > - 0.65% had higher specificity for MS, with an area under the curve of 0.85 (p < 0.01). RA mechanics were significantly impaired in mitral valve disease (patients vs controls) but did not vary significantly with disease pathology (MS vs MR). Patients with moderate mitral valve disease exhibit early and pathology-specific changes in the LA deformation mechanics, manifesting mainly as impaired contractile-phase SR in MR and impaired conduit-phase SR in MS. Our findings highlight SR as a potentially useful early marker of LA dysfunction in relation to mitral valve disease.
Collapse
Affiliation(s)
- Patrícia Marques-Alves
- Department of Cardiology, Centro Hospitalar e Universitário de Coimbra, Praceta Mota Pinto, 3000-001, Coimbra, Portugal.
- Faculty of Medicine, Universidade de Coimbra, Coimbra, Portugal.
| | - Ana Vera Marinho
- Department of Cardiology, Centro Hospitalar e Universitário de Coimbra, Praceta Mota Pinto, 3000-001, Coimbra, Portugal
| | - Célia Domingues
- Department of Cardiology, Centro Hospitalar e Universitário de Coimbra, Praceta Mota Pinto, 3000-001, Coimbra, Portugal
| | - Rui Baptista
- Department of Cardiology, Centro Hospitalar e Universitário de Coimbra, Praceta Mota Pinto, 3000-001, Coimbra, Portugal
- ICBR Coimbra Institute for Clinical and Biomedical Research, Universidade de Coimbra, Coimbra, Portugal
- Faculty of Medicine, Universidade de Coimbra, Coimbra, Portugal
| | - Graça Castro
- Department of Cardiology, Centro Hospitalar e Universitário de Coimbra, Praceta Mota Pinto, 3000-001, Coimbra, Portugal
| | - Rui Martins
- Department of Cardiology, Centro Hospitalar e Universitário de Coimbra, Praceta Mota Pinto, 3000-001, Coimbra, Portugal
| | - Lino Gonçalves
- Department of Cardiology, Centro Hospitalar e Universitário de Coimbra, Praceta Mota Pinto, 3000-001, Coimbra, Portugal
- ICBR Coimbra Institute for Clinical and Biomedical Research, Universidade de Coimbra, Coimbra, Portugal
- Faculty of Medicine, Universidade de Coimbra, Coimbra, Portugal
| |
Collapse
|
6
|
Domingues C, Soeiro P, Silva R, Alves P, Gomes A, Castelo-Branco M, Abrunhosa A, Goncalves L, Vidigal Ferreira MJ. P14718F-FDG uptake in the wall of the atria: can we find a simple explanation? Eur Heart J Cardiovasc Imaging 2019. [DOI: 10.1093/ehjci/jez147.031] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Affiliation(s)
- C Domingues
- University Hospitals of Coimbra, Cardiology, Coimbra, Portugal
| | - P Soeiro
- University Hospitals of Coimbra, Nuclear Medicine Service, Coimbra, Portugal
| | - R Silva
- Faculty of Medicine of the University of Coimbra, Institute of Nuclear Sciences Applied to Health, Coimbra, Portugal
| | - P Alves
- University Hospitals of Coimbra, Cardiology, Coimbra, Portugal
| | - A Gomes
- Faculty of Medicine of the University of Coimbra, Institute of Nuclear Sciences Applied to Health, Coimbra, Portugal
| | - M Castelo-Branco
- Faculty of Medicine of the University of Coimbra, Institute of Nuclear Sciences Applied to Health, Coimbra, Portugal
| | - A Abrunhosa
- Faculty of Medicine of the University of Coimbra, Institute of Nuclear Sciences Applied to Health, Coimbra, Portugal
| | - L Goncalves
- University Hospitals of Coimbra, Cardiology, Coimbra, Portugal
| | - M J Vidigal Ferreira
- Faculty of Medicine of the University of Coimbra, Institute of Nuclear Sciences Applied to Health, Coimbra, Portugal
| |
Collapse
|
7
|
Domingues C, Soeiro P, Silva R, Alves P, Gomes A, Castelo-Branco MJ, Abrunhosa A, Goncalves L, Vidigal Ferreira MJ. P15118F-FDG uptake in the right atrium in patients with heart failure. Eur Heart J Cardiovasc Imaging 2019. [DOI: 10.1093/ehjci/jez147.035] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Affiliation(s)
- C Domingues
- University Hospitals of Coimbra, Cardiology, Coimbra, Portugal
| | - P Soeiro
- University Hospitals of Coimbra, Nuclear Medicine Service, Coimbra, Portugal
| | - R Silva
- Faculty of Medicine of the University of Coimbra, Institute of Nuclear Sciences Applied to Health, Coimbra, Portugal
| | - P Alves
- University Hospitals of Coimbra, Cardiology, Coimbra, Portugal
| | - A Gomes
- Faculty of Medicine of the University of Coimbra, Institute of Nuclear Sciences Applied to Health, Coimbra, Portugal
| | - M J Castelo-Branco
- Faculty of Medicine of the University of Coimbra, Institute of Nuclear Sciences Applied to Health, Coimbra, Portugal
| | - A Abrunhosa
- Faculty of Medicine of the University of Coimbra, Institute of Nuclear Sciences Applied to Health, Coimbra, Portugal
| | - L Goncalves
- University Hospitals of Coimbra, Cardiology, Coimbra, Portugal
| | - M J Vidigal Ferreira
- Faculty of Medicine of the University of Coimbra, Institute of Nuclear Sciences Applied to Health, Coimbra, Portugal
| |
Collapse
|
8
|
Domingues C, Vidigal Ferreira MJ, Martins H, Almeida J, Alves P, Marinho AV, Cunha MJ, Costa G, Goncalves L. P143Echocardiography and 99mTc-DPD scintigraphy on cardiac amyloidosis investigation. Eur Heart J Cardiovasc Imaging 2019. [DOI: 10.1093/ehjci/jez147.027] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Affiliation(s)
- C Domingues
- University Hospitals of Coimbra, Cardiology, Coimbra, Portugal
| | | | - H Martins
- University Hospitals of Coimbra, Nuclear Medicine Service, Coimbra, Portugal
| | - J Almeida
- University Hospitals of Coimbra, Cardiology, Coimbra, Portugal
| | - P Alves
- University Hospitals of Coimbra, Cardiology, Coimbra, Portugal
| | - A V Marinho
- University Hospitals of Coimbra, Cardiology, Coimbra, Portugal
| | - M J Cunha
- University Hospitals of Coimbra, Nuclear Medicine Service, Coimbra, Portugal
| | - G Costa
- University Hospitals of Coimbra, Nuclear Medicine Service, Coimbra, Portugal
| | - L Goncalves
- University Hospitals of Coimbra, Nuclear Medicine Service, Coimbra, Portugal
| |
Collapse
|
9
|
Ferreira J, Freitas F, Ferreira C, Milner J, Alves P, Marinho V, Domingues C, Santos M, Monteiro S, Monteiro P, Pego M. P1024Implantable cardioverter-defibrillator therapy in patients presenting with acute coronary syndromes - useful before 40 days? Eur Heart J 2018. [DOI: 10.1093/eurheartj/ehy564.p1024] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Affiliation(s)
- J Ferreira
- University Hospitals of Coimbra, Cardiology, Coimbra, Portugal
| | - F Freitas
- University Hospitals of Coimbra, Cardiology, Coimbra, Portugal
| | - C Ferreira
- University Hospitals of Coimbra, Cardiology, Coimbra, Portugal
| | - J Milner
- University Hospitals of Coimbra, Cardiology, Coimbra, Portugal
| | - P Alves
- University Hospitals of Coimbra, Cardiology, Coimbra, Portugal
| | - V Marinho
- University Hospitals of Coimbra, Cardiology, Coimbra, Portugal
| | - C Domingues
- University Hospitals of Coimbra, Cardiology, Coimbra, Portugal
| | - M Santos
- University Hospitals of Coimbra, Cardiology, Coimbra, Portugal
| | - S Monteiro
- University Hospitals of Coimbra, Cardiology, Coimbra, Portugal
| | - P Monteiro
- University Hospitals of Coimbra, Cardiology, Coimbra, Portugal
| | - M Pego
- University Hospitals of Coimbra, Cardiology, Coimbra, Portugal
| |
Collapse
|
10
|
Marinho V, Milner J, Alves P, Domingues C, Ferreira J, Antonio N, Ventura M, Cristovao J, Elvas L, Goncalves F, Pego M. P3868Effectiveness of cardiac resynchronization therapy in heart failure patients with valvular heart disease: comparison with patients with dilated cardiomyopathy. Eur Heart J 2018. [DOI: 10.1093/eurheartj/ehy563.p3868] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Affiliation(s)
- V Marinho
- University Hospitals of Coimbra, Cardiology, Coimbra, Portugal
| | - J Milner
- University Hospitals of Coimbra, Cardiology, Coimbra, Portugal
| | - P Alves
- University Hospitals of Coimbra, Cardiology, Coimbra, Portugal
| | - C Domingues
- University Hospitals of Coimbra, Cardiology, Coimbra, Portugal
| | - J Ferreira
- University Hospitals of Coimbra, Cardiology, Coimbra, Portugal
| | - N Antonio
- University Hospitals of Coimbra, Cardiology, Coimbra, Portugal
| | - M Ventura
- University Hospitals of Coimbra, Cardiology, Coimbra, Portugal
| | - J Cristovao
- University Hospitals of Coimbra, Cardiology, Coimbra, Portugal
| | - L Elvas
- University Hospitals of Coimbra, Cardiology, Coimbra, Portugal
| | - F Goncalves
- University Hospitals of Coimbra, Cardiology, Coimbra, Portugal
| | - M Pego
- University Hospitals of Coimbra, Cardiology, Coimbra, Portugal
| |
Collapse
|
11
|
Ferreira J, Freitas F, Ferreira C, Milner J, Alves P, Marinho V, Domingues C, Santos M, Monteiro S, Monteiro P, Pego M. P1748Should we care for stress hyperglycaemia in patients admitted with acute coronary syndromes? Eur Heart J 2018. [DOI: 10.1093/eurheartj/ehy565.p1748] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Affiliation(s)
- J Ferreira
- University Hospitals of Coimbra, Cardiology, Coimbra, Portugal
| | - F Freitas
- University Hospitals of Coimbra, Cardiology, Coimbra, Portugal
| | - C Ferreira
- University Hospitals of Coimbra, Cardiology, Coimbra, Portugal
| | - J Milner
- University Hospitals of Coimbra, Cardiology, Coimbra, Portugal
| | - P Alves
- University Hospitals of Coimbra, Cardiology, Coimbra, Portugal
| | - V Marinho
- University Hospitals of Coimbra, Cardiology, Coimbra, Portugal
| | - C Domingues
- University Hospitals of Coimbra, Cardiology, Coimbra, Portugal
| | - M Santos
- University Hospitals of Coimbra, Cardiology, Coimbra, Portugal
| | - S Monteiro
- University Hospitals of Coimbra, Cardiology, Coimbra, Portugal
| | - P Monteiro
- University Hospitals of Coimbra, Cardiology, Coimbra, Portugal
| | - M Pego
- University Hospitals of Coimbra, Cardiology, Coimbra, Portugal
| |
Collapse
|
12
|
Ferreira J, Freitas F, Ferreira C, Milner J, Alves P, Marinho V, Domingues C, Santos M, Monteiro S, Monteiro P, Pego M. 4055Should we use beta-blockers in all patients after st-segment elevation acute myocardial infarction? Eur Heart J 2018. [DOI: 10.1093/eurheartj/ehy563.4055] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Affiliation(s)
- J Ferreira
- University Hospitals of Coimbra, Cardiology, Coimbra, Portugal
| | - F Freitas
- University Hospitals of Coimbra, Cardiology, Coimbra, Portugal
| | - C Ferreira
- University Hospitals of Coimbra, Cardiology, Coimbra, Portugal
| | - J Milner
- University Hospitals of Coimbra, Cardiology, Coimbra, Portugal
| | - P Alves
- University Hospitals of Coimbra, Cardiology, Coimbra, Portugal
| | - V Marinho
- University Hospitals of Coimbra, Cardiology, Coimbra, Portugal
| | - C Domingues
- University Hospitals of Coimbra, Cardiology, Coimbra, Portugal
| | - M Santos
- University Hospitals of Coimbra, Cardiology, Coimbra, Portugal
| | - S Monteiro
- University Hospitals of Coimbra, Cardiology, Coimbra, Portugal
| | - P Monteiro
- University Hospitals of Coimbra, Cardiology, Coimbra, Portugal
| | - M Pego
- University Hospitals of Coimbra, Cardiology, Coimbra, Portugal
| |
Collapse
|
13
|
Ferreira J, Freitas F, Ferreira C, Milner J, Alves P, Marinho V, Domingues C, Santos M, Monteiro S, Monteiro P, Pego M. P1749Predictors of acute kidney injury in patients admitted with acute coronary syndromes in a coronary care unit. Eur Heart J 2018. [DOI: 10.1093/eurheartj/ehy565.p1749] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Affiliation(s)
- J Ferreira
- University Hospitals of Coimbra, Cardiology, Coimbra, Portugal
| | - F Freitas
- University Hospitals of Coimbra, Cardiology, Coimbra, Portugal
| | - C Ferreira
- University Hospitals of Coimbra, Cardiology, Coimbra, Portugal
| | - J Milner
- University Hospitals of Coimbra, Cardiology, Coimbra, Portugal
| | - P Alves
- University Hospitals of Coimbra, Cardiology, Coimbra, Portugal
| | - V Marinho
- University Hospitals of Coimbra, Cardiology, Coimbra, Portugal
| | - C Domingues
- University Hospitals of Coimbra, Cardiology, Coimbra, Portugal
| | - M Santos
- University Hospitals of Coimbra, Cardiology, Coimbra, Portugal
| | - S Monteiro
- University Hospitals of Coimbra, Cardiology, Coimbra, Portugal
| | - P Monteiro
- University Hospitals of Coimbra, Cardiology, Coimbra, Portugal
| | - M Pego
- University Hospitals of Coimbra, Cardiology, Coimbra, Portugal
| |
Collapse
|
14
|
Marinho V, Antonio N, Milner J, Alves P, Santos M, Domingues C, Ferreira J, Elvas L, Pego M. P809A super outcome to a super response. Europace 2018. [DOI: 10.1093/europace/euy015.413] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Affiliation(s)
- V Marinho
- University Hospitals of Coimbra, Cardiology, Coimbra, Portugal
| | - N Antonio
- University Hospitals of Coimbra, Cardiology, Coimbra, Portugal
| | - J Milner
- University Hospitals of Coimbra, Cardiology, Coimbra, Portugal
| | - P Alves
- University Hospitals of Coimbra, Cardiology, Coimbra, Portugal
| | - M Santos
- University Hospitals of Coimbra, Cardiology, Coimbra, Portugal
| | - C Domingues
- University Hospitals of Coimbra, Cardiology, Coimbra, Portugal
| | - J Ferreira
- University Hospitals of Coimbra, Cardiology, Coimbra, Portugal
| | - L Elvas
- University Hospitals of Coimbra, Cardiology, Coimbra, Portugal
| | - M Pego
- University Hospitals of Coimbra, Cardiology, Coimbra, Portugal
| |
Collapse
|
15
|
Santos M, Marinho A, Mendes S, Domingues C, Alves P, Silva Marques J, Macario F, Alberto C, Martins R, Mota A, Ferreira M, Pego M. P3345Severe ischemia on myocardial perfusion SPECT independently predicts adverse cardiovascular events after renal transplantation. Eur Heart J 2017. [DOI: 10.1093/eurheartj/ehx504.p3345] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
|
16
|
Santos M, Castelo Branco M, Silva R, Donato P, Ferreira J, Domingues C, Alves P, Marinho A, Gomes A, Martins R, Pego M, Goncalves L, Ferreira M. P4342Atherosclerotic plaque 18F-NaF uptake quantification methodology in high cardiovascular risk individuals: which method yields better results? Eur Heart J 2017. [DOI: 10.1093/eurheartj/ehx504.p4342] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
|
17
|
Santos M, McMahon G, Castelo Branco M, Silva R, Donato P, Domingues C, Marinho A, Alves P, Gomes A, Martins R, Pego M, Goncalves L, Ferreira M. P4348Increased renal artery 18F-NaF uptake is associated with reduced with glomerular filtration rate: an exploratory analysis in subjects with no manifest cardiovascular disease. Eur Heart J 2017. [DOI: 10.1093/eurheartj/ehx504.p4348] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
|
18
|
Marinho V, Ferreira J, Alves P, Domingues C, Santos M, Costa S, Baptista R, Franco F, Ferreira M, Goncalves F, Pego M. P6175CPET predicts invasive measures of right ventricular afterload in end stage HF patients. Eur Heart J 2017. [DOI: 10.1093/eurheartj/ehx493.p6175] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
|
19
|
Alves P, Baptista R, Marinho V, Domingues C, Oliveira-Santos M, Vieira H, Ramos D, Costa S, Franco F, Martins R, Castro G, Pego M. P3364What about mid-range heart failure? The role of right ventricular function and afterload. Eur Heart J 2017. [DOI: 10.1093/eurheartj/ehx504.p3364] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
|
20
|
Santos M, Leite L, Martins R, Baptista R, Domingues C, Alves P, Marinho A, Barbosa A, Ribeiro N, Oliveira A, Castro G, Pego M. P2407Disease progression and incident surgery in an aortic regurgitation cohort: what is the value of left ventricular global longitudinal strain? Eur Heart J 2017. [DOI: 10.1093/eurheartj/ehx502.p2407] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
|
21
|
Marinho V, Antonio N, Milner J, Alves P, Santos M, Domingues C, Ventura M, Cristovao J, Elvas L, Goncalves F, Pego M. P1784Long term outcome of different responses to cardiac resynchronization therapy. Europace 2017. [DOI: 10.1093/ehjci/eux161.093] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
|
22
|
Domingues C, Laranjo M, Abrantes A, Sarmento-Ribeiro A, Carvalho L, Botelho M, Silva H, Dourado M. PO-100: Oral cancer microenvironment - PI3K/AKT/mTOR and ERK/MAPK pathways dependent targets. Radiother Oncol 2017. [DOI: 10.1016/s0167-8140(17)30234-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
|
23
|
Domingues C, Matafome P, Neves S, Laranjo M, Seiça R, Botelho M, Sarmento-Ribeiro A, Dourado M. PO-104: Everolimus in oral cancer: a potential therapeutic approach dependent on cell type? Radiother Oncol 2017. [DOI: 10.1016/s0167-8140(17)30238-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
|
24
|
Santos M, Castelo-Branco M, Silva R, Gomes A, Donato P, Ferreira J, Domingues C, Pego M, Gonçalves L, Ferreira M. Liver dysfunction and 18F-NAF atherosclerotic plaque uptake – Analysis in high-cardiovascular risk individuals. Atherosclerosis 2016. [DOI: 10.1016/j.atherosclerosis.2016.07.877] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
|
25
|
Domingues C, Rougé S, Salles J, Patrac V, Walrand S, Vasson MP, Goncalves-Mendes N. P229 Étude in vitro de l’effet de la vitamine D sur la différenciation des cellules musculaires L6 en situation d’agression. NUTR CLIN METAB 2013. [DOI: 10.1016/s0985-0562(13)70560-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
|
26
|
Abstract
Abstract
A set of commercial polyethylenes (three LDPE and three LLDPE) was rheological characterized and processed in a laboratory double bubble extrusion line with the purpose of investigating: i) whether their relative processability could be predicted in the laboratory and ii) the effect of operating and machine variables on processability. Oscillatory shear and extensional measurements were able to differentiate the various materials, who also behaved quite differently upon processing. Those with a stronger shear thinning behaviour, higher elasticity and higher melt strength were the most suited to the process. Bubble stability and thickness uniformity were assumed as the main requirements for processability. The former was estimated by monitoring the time required to stabilize the bubble and examining any variation/oscillation in size/shape. Bubble stability depends on the interaction between various parameters, the most relevant being those related with the film cooling stage, namely the axial position of the air rings, the air flow rate and air velocity. The study was preceded by an assessment of the performance of the re-heating oven and die/calibration/centring, as these parameters could also narrow the practical operating window.
Collapse
Affiliation(s)
- O. S. Carneiro
- IPC/I3N – Institute for Polymers and Composites, Department of Polymer Engineering, University of Minho, Guimarães, Portugal
| | - J. A. Covas
- IPC/I3N – Institute for Polymers and Composites, Department of Polymer Engineering, University of Minho, Guimarães, Portugal
| | - C. Domingues
- IPC/I3N – Institute for Polymers and Composites, Department of Polymer Engineering, University of Minho, Guimarães, Portugal
| |
Collapse
|
27
|
Domingues C, Ryoo HD. Drosophila BRUCE inhibits apoptosis through non-lysine ubiquitination of the IAP-antagonist REAPER. Cell Death Differ 2012; 19:470-7. [PMID: 21886178 PMCID: PMC3235231 DOI: 10.1038/cdd.2011.116] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/08/2011] [Revised: 07/29/2011] [Accepted: 07/29/2011] [Indexed: 11/10/2022] Open
Abstract
Active caspases execute apoptosis to eliminate superfluous or harmful cells in animals. In Drosophila, living cells prevent uncontrolled caspase activation through an inhibitor of apoptosis protein (IAP) family member, dIAP1, and apoptosis is preceded by the expression of IAP-antagonists, such as Reaper, Hid and Grim. Strong genetic modifiers of this pathway include another IAP family gene encoding an E2 ubiquitin conjugating enzyme domain, dBruce. Although the genetic effects of dBruce mutants are well documented, molecular targets of its encoded protein have remained elusive. Here, we report that dBruce targets Reaper for ubiquitination through an unconventional mechanism. Specifically, we show that dBruce physically interacts with Reaper, dependent upon Reaper's IAP-binding (IBM) and GH3 motifs. Consistently, Reaper levels were elevated in a dBruce -/- background. Unexpectedly, we found that dBruce also affects the levels of a mutant form of Reaper without any internal lysine residues, which normally serve as conventional ubiquitin acceptor sites. Furthermore, we were able to biochemically detect ubiquitin conjugation on lysine-deficient Reaper proteins, and knockdown of dBruce significantly reduced the extent of this ubiquitination. Our results indicate that dBruce inhibits apoptosis by promoting IAP-antagonist ubiquitination on unconventional acceptor sites.
Collapse
Affiliation(s)
- C Domingues
- Department of Cell Biology, New York University School of Medicine, New York, NY, USA
| | - H D Ryoo
- Department of Cell Biology, New York University School of Medicine, New York, NY, USA
| |
Collapse
|
28
|
Ristenpart WD, Kim PG, Domingues C, Wan J, Stone HA. Influence of substrate conductivity on circulation reversal in evaporating drops. Phys Rev Lett 2007; 99:234502. [PMID: 18233371 DOI: 10.1103/physrevlett.99.234502] [Citation(s) in RCA: 247] [Impact Index Per Article: 14.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/12/2007] [Indexed: 05/25/2023]
Abstract
Nonuniform evaporation from sessile droplets induces radial convection within the drop, which produces the well-known "coffee-ring" effect. The evaporation also induces a gradient in temperature and consequently a gradient in surface tension, generating a Marangoni flow. Here we investigate theoretically and experimentally the thermal Marangoni flow and establish criteria to gauge its influence. An asymptotic analysis indicates that the direction of the flow depends on the relative thermal conductivities of the substrate and liquid, k_{R} identical withk_{S}/k_{L}, reversing direction at a critical contact angle over the range 1.45<k_{R}<2. We corroborate the theory experimentally and demonstrate that the Marangoni flow can significantly influence the resulting patterns of particle deposition.
Collapse
Affiliation(s)
- W D Ristenpart
- School of Engineering and Applied Sciences, Harvard University, Cambridge, Massachusetts 02138, USA
| | | | | | | | | |
Collapse
|
29
|
Suga K, Alderson PO, Mitra A, Domingues C, Rescigno J, Smith LG, Ogasawara N, Matsunaga N, Sasai K. Early retardation of 99mTc-DTPA radioaerosol transalveolar clearance in irradiated canine lung. J Nucl Med 2001; 42:292-9. [PMID: 11216529] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/19/2023] Open
Abstract
UNLABELLED The alteration of 99mTc-labeled diethylenetriaminepentaacetic acid (DTPA) transalveolar clearance in an initial phase of radiation lung injury was experimentally investigated. METHODS Fourteen dogs were irradiated to the hemithorax with a single dose of 20 Gy. A DTPA radioaerosol study was performed before irradiation and on day 12 after irradiation. On day 14, the DTPA study was repeated again, with seven animals undergoing the study after inhalation of an aerosolized synthetic surfactant. The penetration index (P.I.) and clearance half-time (T(1/2)) of DTPA were measured in each lung. To evaluate the changes in lung surfactant after irradiation, alveolar lipids were stained in the resected lungs (n = 14), and the amounts of alveolar surfactant phospholipid and protein were measured by a bronchoalveolar lavage study in another six irradiated dogs. RESULTS In all of the 14 irradiated animals, DTPA radioaerosol distributed uniformly throughout the lungs without significant changes in P.I. The T(1/2) values in irradiated lungs were significantly prolonged compared with the matched baseline values and those in nonirradiated lungs (P < 0.05 and 0.001, respectively). The aerosolized synthetic surfactant retarded the DTPA clearance both in the irradiated and in the nonirradiated lungs (P < 0.001) without significant changes in P.I. The histologic and bronchoalveolar lavage studies revealed an increase of alveolar surfactant materials in the irradiated lungs without substantial histologic changes in the alveolar structures. CONCLUSION DTPA transalveolar clearance was retarded soon after irradiation. Increased alveolar surfactant may be partly responsible for this retarded DTPA clearance because the aerosolized synthetic surfactant also prolonged the clearance in nonirradiated lungs. A DTPA clearance test is sensitive for the early detection of radiation lung injury and seems helpful for clarifying the association of epithelial integrity changes and lung surfactant in radiation lung injury.
Collapse
Affiliation(s)
- K Suga
- Department of Radiology, Columbia-Presbyterian Medical Center, New York, New York, USA
| | | | | | | | | | | | | | | | | |
Collapse
|
30
|
Domingues C, Soares H, Rodrigues-Pousada C, Cyrne L. Structure of Tetrahymena CCT theta gene and its expression under colchicine treatment. Biochim Biophys Acta 1999; 1446:443-9. [PMID: 10524223 DOI: 10.1016/s0167-4781(99)00111-6] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/17/2022]
Abstract
We report here the cloning and the characterization of the Tetrahymena pyriformis chaperonin-containing-TCP1 theta gene (TpCCT theta), an orthologue of the mouse chaperonin gene CCT theta. TpCCT theta gene is interrupted by eight introns, ranging in size between 91 and 419 nucleotides, and encodes a protein consisting of 540 amino acid residues (59.1 kDa), with a putative pI of 5.73. The amino acid sequence of TpCCT theta reveals 39.4-46.0% identity with the sequences of Candida albicans and mouse CCT theta subunits and 28.0-32.6% identity with the other TpCCT subunits known so far. We have studied the expression of this gene in exponentially growing Tetrahymena cells and in cells treated with colchicine for different times. The steady-state levels of CCT theta mRNA rapidly decrease in the first 30 min of colchicine treatment. Interestingly, treatment for subsequent 60 min gives expression levels higher than those found in exponentially growing cells.
Collapse
Affiliation(s)
- C Domingues
- Instituto Gulbenkian de Ciência, Oeiras, Portugal
| | | | | | | |
Collapse
|
31
|
Pontes L, Ribeiro M, Domingues C, dos Santos G. Vulvo-vaginal reconstruction in advanced oncologic pathology. Eur J Cancer 1999. [DOI: 10.1016/s0959-8049(99)81372-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
|
32
|
Suga K, Mitra A, Domingues C, Alderson PO. Effect of inhaled surfactant on pulmonary deposition and clearance of technetium-99m-DTPA radioaerosol. J Nucl Med 1998; 39:543-7. [PMID: 9529308] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/07/2023] Open
Abstract
UNLABELLED To establish the effect of an aerosolized synthetic surfactant (Exosurf) on pulmonary 99mTc-diethylenetriamine pentaacetic acid (DTPA) aerosol deposition and clearance, radioaerosol studies were performed at varying times and under varying conditions after surfactant inhalation in canine lungs. METHODS Twenty-three dogs had a baseline 99mTc-DTPA study; 2 days later the study was repeated after inhalation of a 1.5-ml/kg dose of Exosurf aerosolized by an ultrasonic nebulizer. The clearance half-time (T1/2) of 99mTc-DTPA from each lung was measured at different times (from 10 min to 3 hr) after Exosurf inhalation. For comparison, five animals had a 99mTc-DTPA study 10 min after inhalation of the same dose of saline as Exosurf. An additional five animals inhaled a 99mTc-DTPA-Exosurf mixture to investigate the distribution of Exosurf. RESULTS Technetium-99m-DTPA distributed uniformly without significant changes in penetration indexes before and after inhalation of Exosurf and the 99mTc-DTPA-Exosurf mixture. After Exosurf inhalation, 99mTc-DTPA clearance at 10 min (T1/2; 35.6 +/- 8.7 min; n = 6) and 40 min (29.4 +/- 6.3 min; n = 4) was significantly prolonged compared with the matched baseline values (24.7 +/- 6.4 min, p < 0.0001; and 21.7 +/- 8.9 min, p = 0.01, respectively). However, later clearance times were not prolonged. By contrast, after saline inhalation, 99mTc-DTPA distributed inhomogeneously, and clearance times T1/2) were not altered from the matched baseline values. CONCLUSION Aerosolized Exosurf distributes homogeneously in the lungs. Exosurf initially retards 99mTc-DTPA aerosol clearance, but 99mTc-DTPA transalveolar clearance returns to baseline rates within 1-2 hr. Technetium-99m-DTPA aerosol clearance measurements can be used to monitor the effect of inhaled Exosurf on pulmonary epithelial integrity.
Collapse
Affiliation(s)
- K Suga
- Department of Radiology, Columbia-Presbyterian Medical Center, New York, New York 10032, USA
| | | | | | | |
Collapse
|